They can put a man on the moon. Why Can't They.... - page 2

To me, it would seem that they could improve the quality of life for the Inpatient in so many ways. I think if they could put a man on the moon, surely they could.... * Invent a smaller K... Read More

  1. by   bobnurse
    Oh, I forgot, this drug has never been passed, and I have yet to hear anything of it.........
  2. by   JJRN
    Quote from caroladybelle
    That is generally MD problem not a Nursing/mechanical problem. It requires a well educated caring physician, not an invention.

    It also requires a cooperative patient and cooperative family support.
    How is pain relief not a nursing responsibility??? Come on!!! MDs become aware of the patient's inadequate pain control by nurse notification. Don't sit back and say, "Well, you have already have taken the only ordered med, so just wait." And if you do not get an increased pain med dose, or different therapy, then inform the MD you will need to consult the ethics committee regarding the pt's right to pain control being ignored.

    Nurse's #1 priority should be acting as a patient advocate.
  3. by   UM Review RN
    How is pain relief not a nursing responsibility???
    It is not a nursing responsibility because we cannot prescribe pain medications.

    Now, back to the original topic please.
  4. by   oramar
    Quote from Angie O'Plasty, RN

    * Invent a smaller K pill?

    * Invent a tastier po K elixir

    * Invent a "burnless" K rider

    * Find an easier-to-take bowel prep than GoLytely

    What are some of your ideas?
    I used to work on a cardiac unit where we passes out K by the shovel full. It was a unit that took care of pre cardiac transplants. The doctors liked to keep the patients K levels up around 4.0. I got very tired of all the hassles involved. Everybody had a story why they can't tolerated K in the form ordered. We had to call the MDs 20 times a day and get the K orders changed to a form the patient was willing to take. I thought if the MD just said to the patient "I am ordering such and such, does that agree with you it?" it would have make our lives simpler. Another pet peeve is the fact that the doctor's order IV runs of K on people that are perfectly capable of swallowing. There is all that bytching and moaning that goes with the administration of IV K. I had one patient that had a K level of 2.0 all the time and refused to take it in any form. He could not stand the stuff and either can I. Strange, when I went to a med/surg unit to work the number of complaints about K really dropped. Mostly I just handed it to the patient and they took it. Made me wonder if these pre transplant patients had so little control over what happened to them that all that fussing about K was really about something else.
  5. by   lifeisbeautiful
    Quote from caroladybelle
    That is generally MD problem not a Nursing/mechanical problem. It requires a well educated caring physician, not an invention.It also requires a cooperative patient and cooperative family support.
    Sending a man on the moon isn't a Nursing responsibility.
    I thought this thread was asking for ideas, not just inventions.
    My IDEA was to allow Nurses to have more control and responsibility with a patients pain management regime. I feel pain management is a huge responsibility for Nurses. I often feel that I am constantly caught in the middle of trying to get medicine from a doctor and trying to keep the patient comfortable.

    It would be a great idea to allow Nurses to have better access and freedom to analgesics and pain management, seeing I am the one responsible for administering the drugs to the patient, not the MD. If a patient is in pain, the finger is ultimately pointed at me for not doing 'enough'.
  6. by   live4today
    Quote from lifeisbeautiful
    .................................................. .
    My IDEA was to allow Nurses to have more control and responsibility with a patients pain management regime. I feel pain management is a huge responsibility for Nurses. I often feel that I am constantly caught in the middle of trying to get medicine from a doctor and trying to keep the patient comfortable.

    It would be a great idea to allow Nurses to have better access and freedom to analgesics and pain management, seeing I am the one responsible for administering the drugs to the patient, not the MD. If a patient is in pain, the finger is ultimately pointed at me for not doing 'enough'.
    Great idea, lifeisbeautiful! Pain Management IS very crucial to a patient's recovery process, and should not be taken lightly by nurses or doctors.
  7. by   oramar
    Quote from Angie O'Plasty, RN



    * Find an easier-to-take bowel prep than GoLytely

    What are some of your ideas?
    Someone once posted about a milder bowel prep that was being ordered for elderly patients at the place where she worked. GoLytely and is generic equivalents are so devastating to the elderly.
  8. by   lifeisbeautiful
    Right! My IDEA was to allow Nurses more freedom to use their assessment skills and education to manage a patient's condition instead of always having to wait and wait and wait for a doctor's order for every minute adjustment in pain management. I mean, we are allowed to titrate IV heart medications, but dog forbid we give a person 2 Vicodin every four hours for pain instead of the 1 prescribed because 1 isn't helping. Freedom of speech removed.
    Last edit by lifeisbeautiful on Jan 8, '05
  9. by   ktwlpn
    Quote from stevielynn
    My mammograms don't hurt at all .. .one side benefit of breastfeeding four kids and having NO density left in the old milk-makers.
    nope-my mammogram didn't hurt either...What HURT was being jacked up OFF the floor by my twins....The MAMMOGRAM was not bad at all....
  10. by   UM Review RN
    Have you never had a patient with ineffective pain management? I have; it's rampant, according to many studies. Have you never called a doc for more or different pain meds only to have the doc delay calling you back or completely refuse to raise the dosage?

    Although nurses can call docs for new orders or suggest a Pain Management consult, we're essentially only able to report the problem or try non-narcotic interventions (which usually don't work real well on post-ops, anyway).
    Last edit by VickyRN on Jan 7, '05 : Reason: Quote removed
  11. by   UM Review RN
    Allow people to have easier access to pain medication instead of having to beg for it or having to resort to saying, "Well I'll just deal with it and suffer".
    It would be a great idea to allow Nurses to have better access and freedom to analgesics and pain management, seeing I am the one responsible for administering the drugs to the patient, not the MD.
    My IDEA was to allow Nurses more freedom to use their assessment skills and education to manage a patient's condition instead of always having to wait and wait and wait for a doctor's order for every minute adjustment in pain management.
    Thanks for the clarifications.
  12. by   General E. Speaking, RN
    I would like an invention that is hooked up to the doc on call and if he/she doesn't call back within a certain amount of time the get a little "shock" to remind them!! Nothing deadly, just a little jolt...
  13. by   JJRN
    I deal with pain management constantly in trauma, which is why I stated that should you not receive satisfaction in med orders from some certain MDs suggest your next step to be contact with the hospital ethics committee since the pt is in such agony.
    Last edit by VickyRN on Jan 7, '05

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